Borrego, Kelly Raye
Borrego, Kelly Raye is an individual health care provider with primary practice located at 440 Saint Katherine Dr , La Canada Flintridge CA 91011-4113. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Borrego, Kelly Raye can be contacted via phone (626) 685-8356.Contact Information
Primary practice address
440 Saint Katherine Dr
La Canada Flintridge CA 91011-4113
Phone: (626) 685-8356
Fax: (626) 685-8503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT6364 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000020886 | California |
Profile Details
| NPI number | 1699142216 |
|---|---|
| LBN Legal business name | Borrego, Kelly Raye |
| Credentials | MS, ATC, LAT, CES |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2015 |
| Last updated | Sep 24th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699142216 | NPPES |
| California | Other | 1699142216 | ATHLETIC TRAINER |
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